Individual
KIRK-JOHN BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E CARROLL ST, ST 3, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
717 HURLEY PARK DR, SEAFORD, DE 19973-1319
(302) 682-9373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3159
MD
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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